Health Sciences Internships in Bolivia

From riding the teleférico above the city to observing fascinating procedures and talking to medical professionals to exploring breathtaking salt flats and forests, everyday of my CFHI program in La Paz, Bolivia was exciting, educational, and perspective-opening. I had the opportunity to observe a variety of medical specialties in different settings, including private and public from physical therapy to neurosurgery allowing me to explore my interests. While observing procedures and patient exams was very educational, I learned the most in my conversations with doctors, medical students, and hospital professionals. They shared helpful insights on working across cultural barriers and the resource limitations experienced both by patients and medical institutions. I was able to interact with patients through non-clinical tasks such as play therapy which helped me to truly engage. While the language barrier sometimes hindered my full understanding, my clinical rotations were a great opportunity to challenge myself to ask questions, getting greater exposure to a wide range of specialties and patient cases. My homestay was much more than an accommodation — it was a deep, lifelong connection. I have forever gained an abuela in Bolivia, who I hope to stay in contact with forever. She deeply cared about my comfort and wellbeing as she shared her cooking and culture with me and my roommates. I felt strongly supported by my local team and felt my Spanish and health classes really supported my learning. Although it challenged me, I learned so much by delivering a case study to my class and medical director. La Paz is an incredibly vibrant city and a fascinating mix of strong traditions and modern comforts. There is so much to do in the city! Some of my favorite memories include watching a Jazz-Traditional show, a local soccer match, and visiting the El Mercado de Brujas. I loved visiting historical sites and museums through the program, especially the Tiwanku ruins, San Francisco Church, and the National Art Museum. I made the most of my free time on weekends to see the breathtaking nature of Bolivia through trips to Isla del Sol, the Cloud Forest, and Uyeni Salt Flats. My travels not only gave me a sense of adventure, but helped to better understand the bigger cultural picture. Through my time with CFHI, I developed a strong sense of cultural humility and a greater understanding of the social determinants of health, especially disparities faced by those of lower socioeconomic status and those in rural areas. My experience helped me to grow as a future medical professional and as a conscious human being. I would highly recommend this experience to any student looking to expand their perspective through global travel under ethical, safety-focused leadership.

Spending five weeks in Tarija, Bolivia for CFHI’s Global Health Internship was one of the most enriching and transformative experiences of my public health and medical career journey. I have traveled a lot previously and done a similar program in Spain, but the experience with CFHI stood out due to the ability to live with a host family and experience the culture of Tarija, while also having access to multiple different clinical sites where I could learn from physicians, patients, and technicians in a way that is very hard to find in other programs. I had rotations in a primary health center, a clinic just for Chagas patients, a big teaching hospital, and an entomology lab in the departmental health service. This variety of experience allowed me to learn in depth about the health system, public health initiatives, and the experiences of both physicians and patients. I was able to see firsthand how the physicians and technicians worked in resource-limited settings to provide compassionate care and worked tirelessly to improve the health and well-being of members of their communities. In addition to these rotations, I was able to complete a practicum where I could combine this hands-on experience with a review of literature on the Bolivian health system and vector-borne disease to devise recommendations to improve vector-borne disease control in the department. I was also able to present these recommendations after working with the health coordinator and the head technician of the entomology lab in the department. While having this enriching experience learning from physicians and technicians, I was also able to learn the culture in depth and improve my Spanish fluency. Our Spanish lessons were delivered in a dynamic fashion where we had classes both in the classroom and out in the city in areas such as museums and cultural sites. This allowed me to really learn about the history and culture of the city. I was also able to go on weekend trips to La Paz and Uyuni, where I was able to further learn about the history and culture of Bolivia. All of these experiences were done while living with a host family in the city who always made every effort to make me and the other students feel comfortable and at home. I spent time with my host family every day during meals and formed a close bond with them. We also lived in the center of the city where we could comfortably walk to clinics, coffee shops, restaurants, or stores. This was a great experience, and I would highly recommend it for anyone who wants to gain more experience in medicine/public health!

Several years ago, I spent two years living in a rural village in the Dominican Republic as a Peace Corps Volunteer. Immersed in a different culture, language, and way of life vastly different from my privileged upbringing, I experienced immense personal growth and gained a perspective that informed my path in public health and medicine. Now in my 4th year of medical school, I had the opportunity to spend a month living in Tarija, Bolivia through Child Family Health International, rotating in clinics and hospitals, improving my Spanish language skills, and immersing once again in a vibrant culture and community. While these two experiences were different in many ways, what ultimately remains etched into my mind and my heart remains the same - the people I met and the relationships I built. I lived in a 3 generation household consisting of my host mom, her son (host brother) , and her 6-year-old grandson. My host mom does it all. She works as a dentist, is the chef of the household (cooking not only for her family but also for her fiance and his daughter), attends to her plants, and keeps everything in order. The more time I spent with her, discussing everything from the weather to cooking to U.S. and Bolivian politics, the more it felt like a genuine friendship, similar to that which I have with my own mom. In addition, we realized that we both have a second stomach for sweets, which came in handy when we went to dinner and could back each other up on wanting to order dessert. It also made teaching her how to bake tres leches (my host brother’s favorite cake) a no-brainer. It lasted less than 2 days! My host mom created the sturdy, comfortable envrionment that made me feel like I had a home away from home. She had a genuine curiosity to get to know me as well as teach me about the aspects of her life and Bolivian culture that she loves and appreciates. It was her delicious, traditional meals that kept me energized during my month there (well that and the coffee I enjoyed multiple times a day). Some of my favorite memories in Tarija were the times we spent in the kitchen/dining room, preparing food, eating together, or talking over tea and snacks. The previous student was right when she said that our host “is the best host mother!” Then there was my host brother, who is around my age. When he’s not taking care of his son, working as a dentist, or taking online courses to become a professor, he runs with a local running club. During the first two weeks as I was preparing my residency application, we’d sit together at the living room table after dinner, doing our respective work. The companionship during this somewhat stressful time was unexpected and quite calming. More unexpected, however, was when he invited me to sing-up for a 5k race that he and his running club were participating in. I ran cross-coutry and track in college (over 10 years ago), and it had been a hot minute since I participated in any competition. But as soon as we arrived in the early morning, doing warm-up experciese together, I had the familiar nervous excitement that always comes with racing competitions. After the race was over (I came second in my age group with the prize of a botte of wine made in Tarija!), we joined the rest of the running club members for a celebratory brunch. The following week we ran in another, more low-key 5k, and afterward I chatted with some of the same running club members as the week prior. They tried unsuccessfuly to get me to join the triathlon the following week. Though brief, I felt I was part of this energetic and supportive community. The day before leaving Tarija, my host brother brother messaged me: “You’re not leaving yet, and I’m already missing you ?.” This sentiment alone describes what I find most valuable about my experience: the ability to connect with people, to compartir (share) parts of your lives, even if briefly, in a way that leaves a positive mark.

My name is Jenna Frantz, and I am a fourth-year medical student (just weeks away from graduating as an MD) at Wright State University Boonshoft School of Medicine. As I am preparing for my residency and career in emergency medicine, I am continually inspired by my foundational goal: to serve Hispanic patients facing barriers to healthcare, both domestically and abroad. When I found the rotation to Tarija, Bolivia, through Child Family Health International (CFHI), it was a great fit with my goals to obtain further education and experience in global health. I had previously rotated in Peru, Guatemala, Ethiopia, and Puerto Rico for service-learning opportunities (not affiliated with CFHI), and I could tell my experience with CFHI would be different. I was so excited for the stellar learning experience and cultural immersion provided by CFHI. While still stateside, CFHI made sure I was well prepared for my trip logistically, culturally, and educationally. To facilitate this, there were multiple required online modules about the program, Bolivian culture, cultural sensitivity, and global health ethics. Additionally, the team remained in close email contact with me, and there was even a virtual orientation session to ensure I was prepared prior to takeoff. Once I arrived in Tarija, I was immediately received with warm, kind smiles from Fabricio – the local program coordinator – and my host family. I got to live with a lovely host family for 8 weeks. The family had 3 daughters about my age, and they took me under their wing immediately, inviting me to hang out with their friends, to walk around the town, to go to the local cultural festivals, and so much more. Aside from the amazing experience I had with my host family, I had a very comprehensive medical rotation. I rotated for 2 weeks in internal medicine, and 1 week in each of the following: rural primary care, urban primary care, Chagas’ disease clinic, emergency medicine, general surgery, and OB/GYN. I quickly found that the rotations through CFHI are not the same as my medical rotations in the United States – despite being fluent in Spanish, it is difficult to be fully-integrated into the care team as a foreign student where the documentation and work-flow are entirely different from the system in the United States. Furthermore, the local students had to start pre-rounding on their patients at 4-6am; as my scheduled arrival time to the rotation was at 7-8am each day, it was hard to be as fully-involved in patients’ care, since much of the decision-making took place in pre-rounds prior to my arrival. Despite this, it was not at all a barrier to my learning experience, but rather a shift of focus. My learning on this rotation was much more focused on cultural influences in medical decision-making, the influence of government in healthcare in a universal healthcare system, and navigating barriers such as broken equipment and out-of-stock medications. Another amazing part of this rotation was the extreme kindness and generosity of the local physicians and medical students. Although they had absolutely no obligation to do so, they frequently invited me out to experience the beautiful nature and the lovely culture and customs in Tarija. While rotating in the rural clinic in San Andrés, the physicians took me to the river in the countryside after clinic to enjoy the gorgeous views and to take a dip in the water. At the urban clinic, the physicians invited me to hang out with them during the Carnaval Chapaco, as they wanted to ensure I could experience this great cultural tradition. While rotating in internal medicine, I became good friends with a local medical student, and she and I learned more about the local cultural importance of wine while we toured the local vineyards together. During my experience in general surgery, the residents invited me to get coffee, dinner, and to take a hike to the Chorros de Marquiri, the most beautiful waterfall I’ve seen in my life. All of these people went above and beyond, helping me to have an amazing time in Tarija, and it was truly one of the best parts of my CFHI experience. My experience with CFHI was valuable and enjoyable learning experience, and I knew I had the constant support of my caring host family and the local team. I would highly recommend an experience through this organization for any students in the medical field who plan on having a career in international medicine.

I participated in the Pediatric and Adolescent Medicine program in La Paz, Bolivia for four weeks and loved it! I liked that I was able to see healthcare in La Paz in different settings: I had two weeks of rotations at two different local community clinics and two weeks at the city's largest children's hospital (one week in surgery and one week in the pulmonary unit). The physicians I worked with were patient, kind, and very willing to work with me. I saw patients with cases that I would never see in the United States such as echinococcus granulosus. Not only was the clinical experience great, but the cultural experience was even better. My group and I were able to visit a new tourist site every weekend and our language facility made it so easy to plan the weekends. I also loved my homestay mother. The homestay experience was key in helping me practice and improve my conversational Spanish. I would definitely recommend this program to anyone looking to combine their interests in healthcare and experiencing new cultures!

I just returned from the Pediatric and Adolescent Medicine in La Paz, Bolivia program. I had a wonderful experience and definitely feel that the time I spent participating in the program will have a positive impact on my future career as a pediatrician. I saw some interesting diseases (i.e. Leishmaniasis) that are very uncommon in the United States. I also had the opportunity to explore some beautiful sites within the country. My host family was phenomenal and all of the food was delicious. Although I am still not fluent in Spanish, I feel that my language ability has improved and I have gained cultural perspective that will most definitely be beneficial in my future interactions with patients. I highly recommend this program, especially to those considering careers in pediatrics!